测量医疗保健机构中耻辱文化方面的方面
Heather Stuart1, Stephanie Knaak2
1Carruthers Hall, Queen's University, Kingston, ON, Canada. heather.stuart@queensu.ca.
Social psychiatry and psychiatric epidemiology
|December 10, 2024
概括
一个新的23项尺度有效地从患者的角度来衡量医疗保健环境中的精神疾病耻辱. 该工具有助于评估护理质量,并确定干预领域,以减少耻辱文化.
科学领域:
- 医疗保健质量和患者体验
- 心理健康服务研究 心理健康服务研究
- 健康和疾病的社会学.
背景情况:
- 医疗保健中的耻辱文化是对患者护理产生负面影响的组织规范和做法.
- 这些文化表现为护理质量差,胁迫和治疗决策中的权力剥夺.
- 有效的措施对于评估旨在减少医疗保健污名化的干预措施至关重要.
研究的目的:
- 开发和初步测试一种衡量医疗保健文化中精神疾病相关耻辱的措施.
- 该措施是从体验医疗保健的服务用户的角度设计的.
主要方法:
- 项目生成涉及对20名患有精神障碍或物质使用障碍的个人生活经验的定性分析.
- 在可能的情况下,项目从现有尺度进行了调整,并根据4分协议尺度进行了评分.
- 分析了2476名服务用户的定量数据,使用探索性和确认性因子分析.
主要成果:
- 统计分析支持23项单一尺度,用于评估医疗保健环境中的耻辱文化.
- 该尺度可靠地衡量了诸如护理质量低下和缺乏以人为中心 (克朗巴赫α = 0.92) 等方面.
- 综合规模得分显示了大约正常的分布.
结论:
- 开发的"医疗保健中的耻辱文化尺度"是评估患者所感知的耻辱感的可靠工具.
- 它可以在各种不同的身体和精神健康护理环境中应用.
- 建议进行进一步的测试,以验证其在评估心理或物质使用障碍患者护理的耻辱化方面的使用.
更多相关视频
11:13The Social Dimension of Stress: Experimental Manipulations of Social Support and Social Identity in the Trier Social Stress Test
Published on: November 19, 2015
13.7K
05:26Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View
Published on: January 7, 2019
6.7K
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
Stereotype Content Model
14.0K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
14.0K
Stereotypes, Prejudice, and Discrimination
90.0K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.0K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Community Based Intervention
33
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
33
Ethical Standards II
647
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
647
